institution
Julian W. Fields D.d.s., Ltd.
Dental Clinic/Center in Altavista, Virginia
NPI 1861658726

Julian W. Fields D.d.s., Ltd. is a Dental Clinic/Center based in Altavista, VA and is specialized in Dental. Julian W. Fields D.d.s., Ltd. practices in Altavista, VA. The NPI Number for Julian W. Fields D.d.s., Ltd. is 1861658726 and holds a License No. 0401008664 (Virginia).

The current practice location address for Julian W. Fields D.d.s., Ltd. is 2180 Lynch Mill Rd, Altavista, VA and can be reached out via phone at 434-369-4702 and via fax at 434-369-4703.

Location: 2180 Lynch Mill Rd, Altavista, VA, 24517-1150
institution
Provider Profile Details
NPI Number
1861658726
Provider Name
Julian W. Fields D.d.s., Ltd.
Credential
Provider Entity Type
Organization
Address
2180 Lynch Mill Rd, Altavista, VA, 24517-1150
Phone Number
434-369-4702
Fax Number
434-369-4703
Provider Enumeration Date
07/31/2008
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
108554 01 VA MEDICAID LOCATION NUMBER
1245383397 01 VA INDIVIDUAL PROVIDER NPI
463565 01 VA BLUE CROSS BLUE SHIELD PROVIDER NUMBER
1578533063 01 VA INDIVIDUAL PROVIDER NPI
9180988 05 VA
342746 01 VA BLUE CROSS BLUE SHIELD PROVIDER NUMBER
institution
Provider Business Practice Location Address Details
Address
2180 Lynch Mill Rd
City
State
Zip
24517-1150
Phone Number
434-369-4702
Fax Number
434-369-4703
person
Provider Business Mailing Address Details
Address
2180 Lynch Mill Rd
City
State
Zip
24517-1150
Phone Number
434-369-4702
Fax Number
434-369-4703
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
License No.
0401008664 (Virginia)
Definition
Definition to come...
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